<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="width: 100%; border-collapse: collapse; border: none" >
		<tr>
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			机</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;&nbsp;&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			构</span></p>
			</td>
			<td style="width: 69.25pt; border: solid windowtext 1.0pt; border-left: none; padding: 0cm 5.4pt 0cm 5.4pt" width="92">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			@t_org</span></p>
			</td>
			<td style="width: 103.65pt; border: solid windowtext 1.0pt; border-left: none; padding: 0cm 5.4pt 0cm 5.4pt" width="138">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			建立日期</span></p>
			</td>
			<td style="width: 90.0pt; border: solid windowtext 1.0pt; border-left: none; padding: 0cm 5.4pt 0cm 5.4pt" width="120">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">@t_createDate</span></p>
			</td>
			<td style="width: 126.5pt; border: solid windowtext 1.0pt; border-left: none; padding: 0cm 5.4pt 0cm 5.4pt" width="169">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			建档人：@t_docPerson</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid; height: 22.35pt">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 22.35pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			姓</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;&nbsp;&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			名</span></p>
			</td>
			<td colspan="2" style="width: 172.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 22.35pt" width="231">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span style="font-size: 12.0pt; font-family: 宋体">@t_holderName</span></p>
			</td>
			<td style="width: 90.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 22.35pt" width="120">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			卡</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			号</span></p>
			</td>
			<td style="width: 126.5pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 22.35pt" width="169">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_cardNo</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid; height: 25.6pt">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 25.6pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			证件号码</span></p>
			</td>
			<td colspan="2" style="width: 172.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 25.6pt" width="231">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_idCard</span></p>
			</td>
			<td style="width: 90.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 25.6pt" width="120">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			账</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			号</span></p>
			</td>
			<td style="width: 126.5pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 25.6pt" width="169">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			家庭地址</span></p>
			</td>
			<td colspan="4" style="width: 389.4pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt" width="519">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span style="font-size: 12.0pt; font-family: 宋体">@t_homeAddress</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid; height: 27.2pt">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.2pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			家庭电话</span></p>
			</td>
			<td colspan="2" style="width: 172.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.2pt" width="231">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_homeTel</span></p>
			</td>
			<td style="width: 90.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.2pt" width="120">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			邮</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			编</span></p>
			</td>
			<td style="width: 126.5pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 27.2pt" width="169">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_homePostCode</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid; height: 32.4pt">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 32.4pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			单位地址</span></p>
			</td>
			<td colspan="4" style="width: 389.4pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 32.4pt" width="519">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span style="font-size: 12.0pt; font-family: 宋体">@t_companyAddress</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid; height: 29.95pt">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 29.95pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			公司名称</span></p>
			</td>
			<td colspan="2" style="width: 172.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 29.95pt" width="231">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span style="font-size: 12.0pt; font-family: 宋体">@t_companyName</span></p>
			</td>
			<td style="width: 90.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 29.95pt" width="120">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			邮</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			编</span></p>
			</td>
			<td style="width: 126.5pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 29.95pt" width="169">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_companyPostCode</span></p>
			</td>
		</tr>
		<tr style="page-break-inside: avoid; height: 26.2pt">
			<td style="width: 72.1pt; border: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; height: 26.2pt" width="96">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			公司电话</span></p>
			</td>
			<td colspan="2" style="width: 172.9pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 26.2pt" width="231">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_companyTel</span></p>
			</td>
			<td style="width: 90.0pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 26.2pt" width="120">
			<p align="center" class="MsoNormal" style="text-align: center; line-height: 150%">
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			手</span><span lang="EN-US" style="font-size: 12.0pt; line-height: 150%">&nbsp;
			</span>
			<span style="font-size: 12.0pt; line-height: 150%; font-family: 宋体">
			机</span></p>
			</td>
			<td style="width: 126.5pt; border-top: none; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; height: 26.2pt" width="169">
			<p align="center" class="MsoNormal" style="text-align: center">
			<span lang="EN-US" style="font-size: 12.0pt; font-family: 宋体">@t_mobile</span></p>
			</td>
		</tr>
</table>
	<p class="MsoNormal"><span style="font-size: 12.0pt; font-family: 宋体">逾期：</span><span lang="EN-US" style="font-size: 12.0pt">@t_cardDelayLevel
	</span><span style="font-size: 12.0pt; font-family: 宋体; ">&nbsp;&nbsp;&nbsp;&nbsp;透支金额：</span><span lang="EN-US" style="font-size: 12.0pt">@t_totalDiff</span></p>
	<p class="MsoNormal">
	<span lang="EN-US" style="font-size: 12.0pt;">&nbsp;</span></p>
	<p class="MsoNormal">
	<span lang="EN-US" style="font-size: 12.0pt;">&nbsp;</span></p>
	<p class="MsoNormal"><span lang="EN-US" style="font-size: 12.0pt">&nbsp;</span></p>
	<p class="MsoNormal"><span lang="EN-US" style="font-size: 12.0pt">&nbsp;</span></p>
	<p class="MsoNormal">
	<span lang="EN-US" style="font-size: 12.0pt; ">&nbsp;</span></p>
	<p class="MsoNormal">
	<span lang="EN-US" style="font-size: 12.0pt; ">&nbsp;</span></p>
	<p class="MsoNormal"><span style="font-size: 12.0pt; font-family: 宋体">（催收记录自第二页开始）</span></p>
	
	<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; font-family: &quot;Times New Roman&quot;,&quot;serif&quot;">
	<br clear="all" style="page-break-before: always"></span>
